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psnet.ahrq.gov/node/34747/psn-pdf
August 04, 2009 - Applicable tools and practical ideas couch the concepts in concrete experience. … A resource guide to change concepts completes the book.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety4.html
September 01, 2022 - specifically illustrate the nurse’s role in the diagnostic process can be used to introduce diagnostic concepts … Presenting Case Studies
Debriefing and Next Steps
Identify key diagnostic safety concepts … To foster reflective thinking and reinforce key learning concepts, educators can use debriefing with
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psnet.ahrq.gov/issue/unified-model-patient-safety-or-who-froze-my-cheese
August 23, 2023 - This commentary combines two models of systems safety concepts—Reason's Swiss Cheese model and the … Iceberg theory—and applies variations of the hybrid concepts to explain hazards in care delivery.
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psnet.ahrq.gov/issue/human-factors-healthcare-welcome-progress-still-scratching-surface
June 16, 2021 - Despite the interest in integrating human factors engineering concepts into patient safety improvement … around human factors engineering in health care to determine how to enhance the application of these concepts
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psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
December 02, 2020 - The organization applied high reliability concepts to identify, recognize, and support projects at … February 28, 2018
Serious experience events: applying patient safety concepts to improve
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/desc.html
July 01, 2023 - TeamSTEPPS curriculum now includes a set of video-based simulation training activities that teach key concepts … You may want to use parts of or all of that resource to teach these concepts.
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psnet.ahrq.gov/node/46564/psn-pdf
December 06, 2017 - This
commentary discusses the adoption of aviation concepts in health care, successful tactics used … in clinical
oncology, and the importance of embedding the concepts across the system to ensure success
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psnet.ahrq.gov/node/34650/psn-pdf
April 21, 2015 - https://psnet.ahrq.gov/issue/human-error-models-and-management
The author discusses concepts of human … The author further explains several background concepts, including the “Swiss cheese” model of system
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psnet.ahrq.gov/node/44795/psn-pdf
June 29, 2016 - human-factors-healthcare-welcome-progress-still-scratching-surface
Despite the interest in integrating human factors engineering concepts … around human factors
engineering in health care to determine how to enhance the application of these concepts
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psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - Human Error, this book demonstrates Reason's thinking at its finest
and illustrates many of the key concepts … Much of Lucian Leape's work in Error in Medicine involved translating Reason's concepts into health care
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psnet.ahrq.gov/node/37610/psn-pdf
June 16, 2011 - Health care systems that embody these concepts are
considered "learning organizations"—organizations … This article presents examples (primarily from outside health
care) to illustrate these concepts and
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psnet.ahrq.gov/node/44799/psn-pdf
July 11, 2017 - https://psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure … https://psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
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psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - Can you tell us more about these concepts? … Ellen Deutsch: Yes; the concepts of work-as-imagined versus work-as-done were initially developed by … How is resilient healthcare different
from some of these other patient safety concepts? … Ellen Deutsch: There are overlapping concepts, and, in some ways that’s reassuring that we may be on … Exposure to these concepts is a little bit uneven.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022335-juckett-final-report-2017.pdf
January 01, 2017 - i) Fuzzy Classification of Concepts Using Machine Learning. … Second, concepts are often embedded within or overlap other concept phrases. … Third, classification of natural language concepts is an open set problem15,16. … There are
potentially an infinite number of concepts conveyed in written language. … Fuzzy Classification of Concepts Using Machine Learning
2. Recap
3.
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digital.ahrq.gov/principal-investigator/fairbanks-rollin-j
January 01, 2023 - Related guidance on how concepts of attention may inform effective time sharing of tasks in emergency … Related guidance on how concepts of attention may inform effective time sharing of tasks in emergency
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psnet.ahrq.gov/issue/improving-patient-safety-effects-safety-program-performance-and-culture-department-radiology
May 12, 2010 - Related Resources From the Same Author(s)
Improving patient safety in radiology: concepts … July 1, 2017
Serious experience events: applying patient safety concepts to improve patient … July 6, 2022
Healthcare worker serious safety events: applying concepts from patient
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www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
January 01, 2024 - Training efforts such as crew
resource management (CRM) and a focus on the key concepts of leadership … Our process analysis data
collection methods were founded on the concepts of industrial engineering … Follow-up (unit-based) education focused on a review of the initial concepts, practice of effective … Concept Posters
One-line headlines capturing key concepts were developed into laminated posters and … Champions embraced the key concepts of
teamwork and communication, sharing their strategies with other
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psnet.ahrq.gov/node/36559/psn-pdf
July 14, 2010 - description-and-evaluation-interprofessional-patient-safety-course-health-
professions-and
As the science of patient safety evolves, methods for teaching patient safety concepts … The course sought to communicate the basic concepts of patient safety, including
the science of errors
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psnet.ahrq.gov/node/39638/psn-pdf
July 02, 2014 - residency
programs to reengineer their curricula to emphasize patient safety and quality improvement (QI) concepts … curricula were generally popular among trainees and resulted in increased knowledge of safety or QI
concepts
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psnet.ahrq.gov/issue/managing-risks-organizational-accidents
May 13, 2011 - Human Error , this book demonstrates Reason's thinking at its finest and illustrates many of the key concepts … Much of Lucian Leape's work in Error in Medicine involved translating Reason's concepts into health